| NPI | 1801499587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 65970) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00009179) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |