| NPI | 1760958417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS62897) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA0023551) |
| Enumeration Date | 2018-10-21 |
| Last Update Date | 2021-10-13 |