| NPI | 1972173565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302413292) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5305302413292) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |