| NPI | 1952849077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45214) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00009070) |
| 183500000X Pharmacist (Licence: NY 63637) | |
| 183500000X Pharmacist (Licence: OK 18154) | |
| 183500000X Pharmacist (Licence: IA 23159) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2021-01-27 |