| NPI | 1205479219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KY 020975) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: KY 020975) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: IN 26026579A) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: MD 25681) | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2022-03-31 |