| NPI | 1649843129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 73664) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 252487) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-03-25 |