| NPI | 1104913490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 11205) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: AZ 11205) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2010-08-04 |