| NPI | 1538589775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 36486) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 36486) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |