| NPI | 1619080447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ s12481) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: PA rp-044829-l) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2011-12-23 |