| NPI | 1629477922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NE 17717) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 74119) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2025-03-27 |