| NPI | 1215420955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 27183) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: PA RP451467) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2025-11-10 |