| NPI | 1295285187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 58572) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 58572) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2023-05-19 |