| NPI | 1588052617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: SC 14243) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 14243) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2019-07-26 |