| 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 |