| NPI | 1033860762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: KS 1-100905) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: WY 4255) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-08-05 |