| NPI | 1811417967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 62043) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 16264) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-04-13 |