| NPI | 1700470002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 26122) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202217425) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-09-28 |