| NPI | 1487295226 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 63569) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 79603) | 
| Enumeration Date | 2019-10-02 | 
| Last Update Date | 2025-05-30 |