| NPI | 1134019581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 83793) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 57653) |
| 183500000X Pharmacist (Licence: WA 60774189) | |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |