| NPI | 1194487751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: WV RP0012811) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: PA RP453554) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-12 |