| NPI | 1831631589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: PA RP451201) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: NY 061191) |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2016-11-12 |