| NPI | 1205829256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TN 29596) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS40099) |
| 183500000X Pharmacist (Licence: PA RP439895) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-09-04 |