| NPI | 1790653483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: AR PD12272) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: VA 0202213795) |
| Enumeration Date | 2025-10-25 |
| Last Update Date | 2025-10-25 |