| NPI | 1548348493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26022074A) |
| 183500000X Pharmacist (Licence: CA 62470) | |
| 183500000X Pharmacist (Licence: OH 03233495) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-10-20 |