| NPI | 1336453984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: DC PH100000746) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 19646) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-09-01 |