| NPI | 1588250617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 15801) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 60567) |
| Enumeration Date | 2020-12-13 |
| Last Update Date | 2020-12-13 |