| NPI | 1922746601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: WV RP0014137) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP456836) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2025-08-15 |