| NPI | 1093206997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 62851) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 26992) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2025-09-21 |