| NPI | 1467905349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 27806) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH029511) |
| 183500000X Pharmacist (Licence: SC 36737) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: AR PD14029) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2022-08-10 |