| NPI | 1003895616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: WA PL18417) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: CO 13274) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2007-07-08 |