| NPI | 1083236285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: LA 022738) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 022738) |
| 183500000X Pharmacist (Licence: TX 66467) | |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |