| NPI | 1306126362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: MT 6646) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 6646) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2018-06-20 |