| NPI | 1629110770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 53748) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 16102) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: MA PH233305) | |
| 183500000X Pharmacist (Licence: FL PS44898) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2012-06-27 |