| NPI | 1629573811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 19234) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 67029) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-12-20 |