| NPI | 1982290300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR pd15235) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 66037) |
| 183500000X Pharmacist (Licence: NV 20706) | |
| Enumeration Date | 2020-12-19 |
| Last Update Date | 2020-12-19 |