| NPI | 1770254070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2021032268) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-114889) |
| Enumeration Date | 2021-09-26 |
| Last Update Date | 2021-09-26 |