| NPI | 1063808673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: SC 11223) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: GA RPH022200) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |