| NPI | 1184871790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: PA RP034065L) |
| Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: PA RP034065L) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |