| NPI | 1528554573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 019345) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: KY 019345) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2021-07-29 |