| NPI | 1649771312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P8361) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT PHA-PHA-LIC-47255) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2021-01-15 |