| NPI | 1316461254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: MO 2015020740) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: AR PD13325) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2022-07-21 |