| NPI | 1053063784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 63509) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 18079) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |