| NPI | 1730690041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 59609) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 15864) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2022-04-11 |