| NPI | 1164020368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH1001526) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302412357) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2026-03-31 |