| NPI | 1902261662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS25698) |
| Additional Taxonomies | 171W00000X Contractor |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2023-07-25 |