| NPI | 1588941892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MI 5302034056) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302034056) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |