| NPI | 1700449154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps24967) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 30867) |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2019-04-20 |