| NPI | 1881095123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 59473) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 15740) |
| 183500000X Pharmacist (Licence: MO 2014028931) | |
| 183500000X Pharmacist (Licence: KS 116556) | |
| 183500000X Pharmacist (Licence: OH 03233615) | |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2016-10-04 |