| NPI | 1629299094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OR 10681) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IA 20057) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-04-03 |