| NPI | 1982289351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 20585) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302412952) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2026-07-02 |