| NPI | 1376219097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 21022) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MI 5302413678) |
| 183500000X Pharmacist (Licence: MI 5302413678) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: WI 21022) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: MI pending) | |
| 183500000X Pharmacist (Licence: MI pending) | |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2026-02-04 |