| NPI | 1114930831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: SC 11099) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 011099) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-07-01 |