NPI | 1992430128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MO 2020018404) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: GA RPH032981) |
1835P2201X Pharmacist, Ambulatory Care (Licence: WI 20449-40) | |
Enumeration Date | 2022-07-21 |
Last Update Date | 2022-07-21 |