| NPI | 1700991791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: TX 30642) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: KS 1-11128) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |