| NPI | 1568349827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 76109) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: GA RPHT000424-T) |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2026-06-26 |