| NPI | 1457877060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: KY 019372) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: TN 40265) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2023-03-20 |