| NPI | 1336891357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 19724) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: DC PH100000985) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |