| NPI | 1417528811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: TN 44584) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: MS T-100255) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-07 |