| NPI | 1528542750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00008988) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: NM RP00008988) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |