| NPI | 1164971594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: KY 021166) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: IN 26028581A) |
| 1835P2201X Pharmacist Ambulatory Care (Licence: NC 23480) | |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2020-07-31 |