| NPI | 1629363262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: LA 018061) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AL 15413) |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2011-06-11 |