| 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 |