| NPI | 1871120642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 22544) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2015025597) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |