| NPI | 1629315510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: NC 221577) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.295972) |
| 183500000X Pharmacist (Licence: VA 0202210949) | |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2021-11-24 |