| NPI | 1184648446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 28272) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0006897) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 700292) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-05-03 |