| NPI | 1598363442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: MI 5302416399) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI04042300) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2024-12-03 |