| NPI | 1962033597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 19083-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 123416) |
| Enumeration Date | 2020-02-02 |
| Last Update Date | 2020-02-12 |