| NPI | 1164829602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: OR 0013720) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0013720) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2019-05-15 |