| NPI | 1306127196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CT 0013001) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY I09090) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2018-06-20 |