| NPI | 1538161690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: TX 38703) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: OK 12561) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2007-09-05 |