| NPI | 1417479098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: GA RPH031616) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS56464) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2019-08-29 |