| NPI | 1952292385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MI 5315163134) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MI 5302046197) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 60810) | |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-15 |