| NPI | 1669546636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 13262) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 15042) |
| 183500000X Pharmacist (Licence: CA 51658) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: WI 3024819) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |