| NPI | 1164983359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: DC 3157814) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 67012) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |