| NPI | 1700033420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 0010-14748) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 19686) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2024-11-07 |