| NPI | 1760905657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 22739) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2016025439) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2025-08-06 |