| NPI | 1346975760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835C0207X Pharmacist, Compounded Sterile Preparations (Licence: MI 5302041169) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302041169) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2025-03-28 |