| NPI | 1912764960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: GA RPH035673) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 023537) |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2025-08-29 |