| NPI | 1194751370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TN 7143) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 7143) |
| 183500000X Pharmacist (Licence: KY 9981) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2021-04-04 |