| NPI | 1124859152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 33165) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 29938) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2026-08-03 |