| NPI | 1386245587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 18781) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 37432) |
| 183500000X Pharmacist (Licence: MN 116021) | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |