| NPI | 1205473030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 53215) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 24281111028) |
| 183500000X Pharmacist (Licence: AK 230083) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 3159977) | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2025-08-07 |