| NPI | 1710578992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 61113) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP455204) |
| 183500000X Pharmacist (Licence: NC 29804) | |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |