| NPI | 1992391577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 23295) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 6577) |
| 183500000X Pharmacist (Licence: MN 123744) | |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2021-02-22 |