| NPI | 1003795667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 4631) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0025333) |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |