| NPI | 1255882882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OR RPH-0015497) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: PA RP450228) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2019-10-09 |