| NPI | 1285884510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 19881) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO 1077) |
| 183500000X Pharmacist (Licence: CA 70436) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2016-04-19 |