| NPI | 1053762476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: UT 10438264-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 22757) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2023-07-12 |