| NPI | 1255130837 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202222868)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 74866)  | 
| Enumeration Date | 2025-03-07 | 
| Last Update Date | 2025-09-22 |