| NPI | 1881350809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 67574) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 23621) |
| Enumeration Date | 2021-11-14 |
| Last Update Date | 2021-11-14 |