| NPI | 1790455814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00009563) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NM RP00009563) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |