| NPI | 1326579624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WV 3159239) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0010154) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2021-05-10 |