| NPI | 1730443995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: VA 0202214442) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MD 23816) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2022-02-01 |