| NPI | 1366781247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: LA 18361) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MS 010251) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |