| NPI | 1518937804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: MD 15500) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 15500) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-07-08 |