| NPI | 1801267752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: KY 017069) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 1744540) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |