| NPI | 1275940884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AK 129060) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 54773) |
| 183500000X Pharmacist (Licence: OK 15852) | |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2019-08-20 |