| NPI | 1275058430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP451644) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 700650) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2025-11-11 |