| NPI | 1033112057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: NC 16655) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: VA 0202205343) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2011-08-03 |