| NPI | 1619595089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NM RP00009390) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 76880) |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2020-11-08 |