| NPI | 1164145256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NE 10631) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: IA 22949) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: SD 4735) | |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-22 |