| NPI | 1871112763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 16584) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 6730) |
| 183500000X Pharmacist (Licence: IA 23792) | |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2020-04-11 |