| NPI | 1376017814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 22062) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 63969) |
| 183500000X Pharmacist (Licence: TX 69875) | |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2025-06-16 |