| NPI | 1649930512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: PA RP451451) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NJ 28RI04021100) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: NJ 28RI04021100) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: PA RP451451) | |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2023-10-19 |