| NPI | 1740988195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 65570) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 86196) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |