| NPI | 1477319937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 67869) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP456660) |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |