| NPI | 1114310240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TN 24495) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MD 16390) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2016-03-21 |