| NPI | 1083759427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: PA RP045628R) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WV RP0005530) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |