| NPI | 1699507632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 74537) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 34266) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2026-03-17 |