| NPI | 1659866184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MO 2018025584) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-105878) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2022-03-16 |