| NPI | 1093524597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 75127) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00010244) |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2024-12-31 |