| NPI | 1063926228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: IA 22790) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MS 16707) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: LA 022152) | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2022-04-11 |