| NPI | 1215696828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 55245) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 37209) |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |