| NPI | 1851747877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OR 11181) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 42508) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |