| NPI | 1306468863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 69591) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: CO PHA.0022759) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2025-09-25 |