| NPI | 1952767394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: MO 2010031678) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: OH RPH.03335159-3) |
| 1835P2201X Pharmacist Ambulatory Care (Licence: PA RP445567) | |
| 1835P2201X Pharmacist Ambulatory Care (Licence: AZ S022273) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2017-02-10 |