| NPI | 1740961598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NV 23638) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: ID P10060) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: MI 5302414406) | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |