| NPI | 1427757376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 87631) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 30104) |
| 183500000X Pharmacist (Licence: TX 75853) | |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2026-04-10 |