| NPI | 1760937247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 19479) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 17287) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2021-06-18 |