| NPI | 1013137645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 16913) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: MO 2003031452) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |