| NPI | 1518271519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: KY 014944) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 014944) |
| 183500000X Pharmacist (Licence: NV 16696) | |
| 183500000X Pharmacist (Licence: CA 52680) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: NV 16696) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 52680) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |