| NPI | 1932719630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: TN 44291) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 29771) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2022-06-29 |