| NPI | 1912458241 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OR RPH-0015494)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 14981)  | 
| Enumeration Date | 2016-10-21 | 
| Last Update Date | 2016-10-21 |