| NPI | 1043985591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 3059) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-103772) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2024-08-18 |