| NPI | 1568594034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: AL 14479) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: TX 39983) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2007-07-08 |