| 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 |