| NPI | 1720682370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 13342) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 016262) |
| 183500000X Pharmacist (Licence: TX 40726) | |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |