| NPI | 1205792777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00010429) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 105848) |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2025-12-29 |