| NPI | 1740916634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 75951) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 41594) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2025-08-01 |