| NPI | 1659766236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP448906) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: CO PHA.0020799) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: MD 24170) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: VA 0202214787) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: DC PH100002368) | |
| 183500000X Pharmacist (Licence: UT 9061181-1701) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2016-08-17 |