| NPI | 1699375709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202012176) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 17379) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |