| NPI | 1750111894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 76908) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 07061901) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2026-02-13 |