| NPI | 1992134795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 60104) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 057199) |
| 183500000X Pharmacist (Licence: OK 15676) | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2018-03-17 |