| NPI | 1932749439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 5089) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: PR 5089) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |