| NPI | 1780259705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 71013) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: 38270) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2024-03-13 |