| NPI | 1558112003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: NC 34188) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 29299) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-08-28 |