| NPI | 1669814463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: FL PS53380) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: LA PST021390) |
| 1835P2201X Pharmacist Ambulatory Care (Licence: OK R-17096) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL PSI28855) | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2018-10-11 |