| NPI | 1992395065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 74483) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 304899) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2024-08-13 |