| NPI | 1326694167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: NC 27693) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: TN 41513) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2023-10-19 |