| NPI | 1851063796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: TX 70310) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 43214) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2023-02-09 |