| NPI | 1699109165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 72739) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 19868) |
| Enumeration Date | 2013-09-02 |
| Last Update Date | 2026-05-15 |