| NPI | 1336117134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 2368) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ 7108) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2008-08-04 |