| NPI | 1649455023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: PA RP046226L) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: SC 011151) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: GA RPH026286) | |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2018-07-26 |