| NPI | 1932415684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: MD 20038) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 018590) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2020-05-18 |