| NPI | 1790406288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 22049-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2022034673) |
| 183500000X Pharmacist (Licence: IL 051305049) | |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2023-02-09 |