| NPI | 1356698336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: SD R6238) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 16834-40) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2022-06-22 |