| NPI | 1730848664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 068607) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: CT PCT.0016634) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: GA 033704) | |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2024-07-02 |