| NPI | 1447376280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: LA 17237) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WI 12283) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2013-09-13 |