| NPI | 1801363130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 41170) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 28344) |
| 183500000X Pharmacist (Licence: VA 0202216075) | |
| 183500000X Pharmacist (Licence: SC 38018) | |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |