| NPI | 1972174597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 69540) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 36676) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-09-27 |