| NPI | 1699158543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TN 40317) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202214055) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2018-01-08 |