| NPI | 1508841222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 19454) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 19713) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: NY 050193) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2025-04-17 |