| NPI | 1053177097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: WI 2251540) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MI 5302414545) |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2025-09-25 |