| NPI | 1154906246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 66230) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 66230) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2022-09-28 |