| NPI | 1972334480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 74654) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 41133) |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2025-08-25 |