| NPI | 1700968195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 013412) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 001772) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |