| NPI | 1770064321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 17615) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 18726) |
| 183500000X Pharmacist (Licence: GA 12547) | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |