| NPI | 1114443561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 62398) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 17579) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2019-08-19 |