| NPI | 1952914822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 27007) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH237333) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |