| NPI | 1750042925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 72701) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 28951) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2023-07-28 |