| NPI | 1972697571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 14700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 15773) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2026-08-26 |