| NPI | 1154133387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 74089) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 069663) |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |