| NPI | 1417913294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PS33376) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 115825-2) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-07-08 |