| NPI | 1770183147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD12857) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 66257) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |