| NPI | 1700408184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 55233) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 124536) |
| 183500000X Pharmacist (Licence: AZ S023080) | |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-11-18 |