| NPI | 1578368791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 75202) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH1000905) |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-06-25 |