| NPI | 1831970920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 14102) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 14753) |
| 183500000X Pharmacist (Licence: WY 3904) | |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |