| NPI | 1083498257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 72946) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 23143-40) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2025-10-19 |