| NPI | 1760474167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH022889) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: VA 0202206227) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 17417) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2011-05-05 |