| NPI | 1679051239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0022933) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 4060) |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2026-01-07 |