| NPI | 1922693241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 111958) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 043798) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-08 |