| NPI | 1508075714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: SC 01072) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MO 040324) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: AL 08815) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: KY 8418) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-05-28 |