| NPI | 1629709720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 71038) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 38987) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2022-08-19 |