| NPI | 1740068667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 4522) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0024585) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2024-08-12 |