| NPI | 1710993712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 116316-6) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND 4614) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-15 |