| NPI | 1790375855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 21375) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 19741) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |