| NPI | 1194334524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: VA 0202218707) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MD 26806) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |