| NPI | 1801623491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID 2561173) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2024047087) |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2026-03-20 |