| NPI | 1043057730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0014782) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202221379) |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2025-08-12 |