| NPI | 1871391177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy (Licence: NC 338571) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NC 338571) |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-04 |