| NPI | 1629076385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: DC PH100000175) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: MD 16065) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: NV 12574) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 47645) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2010-02-28 |