| NPI | 1184655102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: AL 15174) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: NM RP00006585) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: GA RPH022948) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-11-03 |