| NPI | 1457645525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL TRN42471) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS39771) |
| 183500000X Pharmacist (Licence: VA 0202206618) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2025-06-22 |