| NPI | 1962050385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: KY 020708) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 020708) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2025-07-25 |