| NPI | 1902507478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS57159) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202219241) |
| 183500000X Pharmacist (Licence: OK 19357) | |
| 183500000X Pharmacist (Licence: RI RPH06489) | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |