| NPI | 1649894411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 024310) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: GA 024310) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |