| NPI | 1508054750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PS47270) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 12664) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2013-07-18 |