| NPI | 1144810102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 14093) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 14093) |
| Enumeration Date | 2021-01-24 |
| Last Update Date | 2021-01-24 |