| NPI | 1386679470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: PA RP440569) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: AR PD10131) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |