| NPI | 1790407740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 64637) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 86147) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |