| NPI | 1770074858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S023223) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: AZ S023223) |
| 183500000X Pharmacist (Licence: TX 67573) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2025-10-29 |