| NPI | 1720689060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 55169) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S020873) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |