| NPI | 1083280168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: TX 74419) |
| Additional Taxonomies | 183700000X Pharmacy Technician |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2025-07-22 |