| NPI | 1699192153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 60160) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 18331) |
| Enumeration Date | 2014-03-23 |
| Last Update Date | 2026-01-29 |