| NPI | 1518213487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: NE 3120884) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 13874) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2015-09-23 |