| NPI | 1912502147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302030238) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI Mi5302030238) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |