| NPI | 1013674316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 13727) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 70183) |
| 183700000X Pharmacy Technician (Licence: TX 323966) | |
| Enumeration Date | 2021-11-21 |
| Last Update Date | 2025-07-17 |