| NPI | 1346224524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: AZ 15112) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 57292) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2007-07-08 |