| NPI | 1558944728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: IA 6150317) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21819) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |