NPI | 1174205520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835E0208X Pharmacist, Emergency Medicine (Licence: IA 25318) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 88118) |
1835E0208X Pharmacist, Emergency Medicine (Licence: NM RP00010147) | |
Enumeration Date | 2023-08-04 |
Last Update Date | 2025-07-26 |