| NPI | 1750482519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AL 12826) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OK 10892) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |