| NPI | 1295290492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MO 2018029999) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: KS 1-116551) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2022-08-09 |