| NPI | 1518798818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 22950) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 25099) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: WI 22950) | |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2025-07-07 |