| NPI | 1760843452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: TX 55204) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: OK 15518) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |