| NPI | 1619313509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: NC 24112) |
| Additional Taxonomies | 1835P0200X Pharmacist Pediatrics (Licence: NC 24112) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2022-11-30 |