| NPI | 1194413856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: VA 0202206955) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 011631) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |