| NPI | 1962090308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 34219) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202212524) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2020-12-31 |