| NPI | 1093072894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: TX 53982) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2011020700) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2019-03-04 |