| NPI | 1053084582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P9553) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MO 2019025933) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: ID P9553) | |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-08-26 |