| NPI | 1366433559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: UT 377087-1701) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OH 03-1-20645) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2011-12-16 |