| NPI | 1174543763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: NC 20167) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: NY 050891) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-08-03 |