| NPI | 1043915739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 71933) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TX 20371) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |