| NPI | 1710400379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 62568) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH029864) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-08-16 |