| NPI | 1518173251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: FL PU4257) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS27561) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-30 |