| NPI | 1710235981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: GA RPH028996) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03500400) |
| 183500000X Pharmacist (Licence: MD 20795) | |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2016-03-07 |