| NPI | 1619602703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TN 00044160) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: VA 0202218948) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: KY 023083) | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-09-23 |