| NPI | 1730551763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 61235) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 23627) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2025-01-24 |