| NPI | 1811529662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 56544) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202212459) |
| 183500000X Pharmacist (Licence: LA PST.022917) | |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |