| NPI | 1811699309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: FL PS65135) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PU9576) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2025-07-09 |