| NPI | 1962271197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 24721) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX 73509) |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2025-11-11 |