| NPI | 1417188764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: FL PS57978) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 06006740) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2019-08-15 |