| NPI | 1134182991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: KY 012608) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: TN 10509) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-08 |