| NPI | 1538966247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 30252) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 73378) |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-02-28 |