| NPI | 1851492821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: ID P6020) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID p6020) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-04-02 |