| NPI | 1417992496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 042923) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 32571) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: MO 042923) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: TX 32571) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |