| NPI | 1568933471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: LA 014193) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MS 010449) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2021-01-19 |