| NPI | 1063425445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: NM RP00004707) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: CA RPH38915) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |