| NPI | 1619642568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 86163) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: AZ S025302) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2022-08-26 |