| NPI | 1639512510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 2710) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S026989) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2026-05-17 |