| NPI | 1053657882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MD 19739) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 19739) |
| 183500000X Pharmacist (Licence: TX 49871) | |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2022-07-28 |