| NPI | 1700083672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 68335) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 013662) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2021-11-22 |