| NPI | 1720748957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302031523) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MI 5315144890) |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |