| NPI | 1619271426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: SC 12381) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 18002) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2023-10-17 |