| NPI | 1942889159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 71364) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 37803) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2022-09-23 |