| NPI | 1366439945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CO 17857) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 19989) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2007-10-29 |