| NPI | 1821705559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202219741) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: VA 0202219741) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2023-08-24 |