| NPI | 1396930632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: UT 5565622-1701) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: UT 5565622-8911) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: VA 0202210339) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2024-05-13 |