| NPI | 1235368309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 77590) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WI 13732) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2022-11-03 |