| NPI | 1336785872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 7111262-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 19658) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2026-05-21 |