| NPI | 1104856731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PS 36690) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 36690) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-04-22 |