| NPI | 1053199737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 34217) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202221528) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2026-06-22 |