| NPI | 1295925451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ 3120768) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S016124) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-04-15 |