| NPI | 1770026304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS59565) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 6454) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2020-04-06 |