| NPI | 1043079825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KS 1-107123) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: KS 1-107123) |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-22 |