| NPI | 1760125066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2022028127) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: MO 002235) |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2023-06-07 |