| NPI | 1356049605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TN 0000045201) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: GA RPH033614) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |