| NPI | 1932865896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 28355) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 73960) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2024-04-26 |