| NPI | 1548510290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 14463) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: AL 14463) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |