| NPI | 1356968291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 13818) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 59238) |
| 183500000X Pharmacist (Licence: CA 63855) | |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |