| NPI | 1053038620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: KY 015122) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26023805A) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-12-13 |