| NPI | 1033716287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 83427) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 67134) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2022-08-31 |