| NPI | 1083423792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 75172) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 23750) |
| 183500000X Pharmacist (Licence: NY 060291) | |
| 183500000X Pharmacist (Licence: MA PH235094) | |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |