| NPI | 1659829950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: VA 0202215722) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 26481) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: SC 36820) | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2018-12-10 |