| NPI | 1366999419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: PA RP451031) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 22522) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |