| NPI | 1720535826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: KY 14748) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IN 26021930a) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |