| NPI | 1063165629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 6990) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH240573) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2026-01-21 |