| NPI | 1609309202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 56061) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MI 051294363) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: IL 049151637) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2021-03-17 |