| NPI | 1194370312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 29509) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: MD 26719) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2025-04-15 |