| NPI | 1265183735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 68187) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 067743) |
| Enumeration Date | 2022-01-15 |
| Last Update Date | 2022-01-15 |