| NPI | 1164864286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: FL PS54204) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 23547) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2019-09-26 |