| NPI | 1750572343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 53244) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: MI 5302031508) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2011-08-25 |