| NPI | 1033659974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 23489) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: GA RPH029404) |
| Enumeration Date | 2017-02-25 |
| Last Update Date | 2017-02-25 |