| NPI | 1942806039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 43181) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 12391) |
| Enumeration Date | 2020-12-05 |
| Last Update Date | 2020-12-05 |