| NPI | 1629794284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0019669) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 71293) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2024-08-02 |