| NPI | 1801274063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 126764) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 50108) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 50108) | |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2025-07-01 |