| NPI | 1295306447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 70734) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 291020) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2022-07-27 |