| NPI | 1750012167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 71356) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 71356) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: KS 1-103797) | |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2024-06-14 |