| NPI | 1659654697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: SC 12240) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 15640) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |