| NPI | 1003240789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: DC 3131113) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202211432) |
| 183500000X Pharmacist (Licence: DC PH100001546) | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2021-06-15 |