| NPI | 1699245753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 60138) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 49840) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2020-01-03 |