| NPI | 1063411007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 05875) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 27993) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: ID P3830) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2007-07-08 |