| NPI | 1548930316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: NM 9977) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: ID P9609) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2023-08-11 |