| NPI | 1174930457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P7091) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: ID P7091) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2022-04-13 |