| NPI | 1811561079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45663) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK R-14034) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-05-13 |