| NPI | 1871992297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24179) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 159079) |
| 183500000X Pharmacist (Licence: OK 16212) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 59904) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2022-07-21 |