| NPI | 1568176469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: WI 19808-40) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 28731) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: TN 45479) | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |