| NPI | 1235671520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 26611) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 700117) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2022-07-11 |