| NPI | 1780274092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 83363) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 67709) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-07-26 |