| NPI | 1356447817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 15638) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: VA 0202205436) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-09 |