| NPI | 1174745319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302032705) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S106950) |
| 183500000X Pharmacist (Licence: OH 03127770) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ 3091082 BCPS Cert) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-09-30 |