| NPI | 1871990242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS60468) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 24996) |
| 183500000X Pharmacist (Licence: PR 6279) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2023-01-02 |