| NPI | 1912719352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 48148) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 25077) |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |