| NPI | 1265627640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: WA PH00018909) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: OH 03-3-11876) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 30733) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |