| NPI | 1104235282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MD 24237) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 24226) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2019-02-13 |