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 |