| NPI | 1609639103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 74134) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 070455) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-07-03 |