| NPI | 1376100164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: TX 63406) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 63406) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2022-07-12 |