| NPI | 1114694346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 74252) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 10197803-1701) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2026-05-29 |