| NPI | 1508172024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0012459) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: OR 0012459) |
| Enumeration Date | 2010-08-21 |
| Last Update Date | 2021-08-05 |