| NPI | 1750935870 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302411726)  | 
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MI 5302411726)  | 
| Enumeration Date | 2019-07-26 | 
| Last Update Date | 2024-03-14 |