| NPI | 1174395487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: UT 6422274-1701) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: WA PH00070051) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: ID P10671) | |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |