NPI | 1679650881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WI 13711) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IA 19770) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |