| NPI | 1518562370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 15866) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 55505) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |