| NPI | 1861077166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP005918) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0005918) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |