| NPI | 1962018762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 019916) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0017889) |
| 1835P2201X Pharmacist Ambulatory Care (Licence: OR RPH-0017889) | |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2023-11-10 |