| NPI | 1124040571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 17409) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: FL 17409) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-12-21 |