| NPI | 1568896413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 30210) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH234855) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2026-04-19 |