| NPI | 1134655327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: VA 0202211978) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0018850) |
| Enumeration Date | 2017-05-07 |
| Last Update Date | 2017-05-07 |