| NPI | 1417443110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 30855) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: WA 60859519) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-07-07 |