| NPI | 1033721436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: CO 0017981) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: WY 3053) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-11-09 |