| NPI | 1891165676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: LA 20546) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 53924) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |