| NPI | 1467595678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: VA 0202204891) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: VA 0202204891) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2025-09-11 |