| NPI | 1033079728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 42054) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP441189) |
| Enumeration Date | 2025-11-14 |
| Last Update Date | 2025-12-01 |