| NPI | 1992274674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 21525) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 11175) |
| Enumeration Date | 2018-11-25 |
| Last Update Date | 2018-11-25 |