NPI | 1245847128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 700490) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: WV RP0012127) |
Enumeration Date | 2020-09-25 |
Last Update Date | 2024-03-27 |