| NPI | 1407570559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 19311) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: TN 757) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |