| 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 |