| NPI | 1104364223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: IN 26026717A) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: IL 051298524) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |