| NPI | 1427535905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 28142) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 62602) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2021-05-26 |