| NPI | 1922725209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 23925) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 69873) |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2023-03-02 |