| NPI | 1518317833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: MD 22099) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 22099) |
| 183500000X Pharmacist (Licence: FL PS46678) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: MD 22099) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |