NPI | 1619987534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MD 17291) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: PA RP439488) |
1835P1200X Pharmacist, Pharmacotherapy (Licence: DE A1-0003507) | |
Enumeration Date | 2006-08-09 |
Last Update Date | 2017-04-28 |