| NPI | 1710455308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2018035044) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-106217) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2023-01-03 |