| NPI | 1528023785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: FL PS35995) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: FL PU5629) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |