| NPI | 1265980734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 020787) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: OH 03233954) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: AZ S022163) | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2019-07-24 |