| NPI | 1699379917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 024180) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 53129) |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2025-05-30 |