| NPI | 1548775042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 00000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 14891) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2025-04-02 |