| NPI | 1407437148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: AZ S025220) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 067289) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2024-01-17 |