| NPI | 1750169645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 125232) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 21242-40) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |