| NPI | 1467189605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: KY 021601) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: IN 26030089A) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2023-02-16 |