| NPI | 1235412651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CO 15426) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WY 2726) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |