| NPI | 1730685645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 67454) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 34037) |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2021-06-07 |