| NPI | 1750901807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: NE 12777) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: IA 20281) |
| Enumeration Date | 2020-04-19 |
| Last Update Date | 2020-04-19 |