| NPI | 1629453063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 13548) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MD 13548) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2018-09-27 |