| NPI | 1750878468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MT 24648) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: WY 3640) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |