| NPI | 1770102246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 18362) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IA 18362) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |