| NPI | 1598529471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 73573) |
| Additional Taxonomies | 1835C0207X Pharmacist, Compounded Sterile Preparations (Licence: TX 73573) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |