| NPI | 1396630455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: VA 0202222304) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP456776) |
| 183500000X Pharmacist (Licence: MD 29189) | |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |