| NPI | 1285204156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 2865M2000X) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: NC 2865M2000X) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2025-02-24 |