| NPI | 1376916916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 42003) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 16074) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2018-06-12 |