| NPI | 1477993095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: TX 54964) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22587) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2016-02-08 |