| NPI | 1063020477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 18481) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 688) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2024-12-28 |