| NPI | 1538749833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 72595) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 100156) |
| Enumeration Date | 2021-04-11 |
| Last Update Date | 2023-08-05 |