| NPI | 1689621930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WI 12485-040) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 115554-3) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-07-08 |