| NPI | 1629679410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 36814) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 36814) |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2023-09-04 |