| NPI | 1689198186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: TN 39179) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: KY 019174) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2020-04-13 |