| NPI | 1992155139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 64757) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0015928) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2023-02-28 |