| NPI | 1699341578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 71713) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 227158) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2022-12-21 |