| NPI | 1306609821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 55126) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 55126) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-05-02 |