| NPI | 1518010396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OK 12873) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AR PD10961) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2012-02-12 |