| NPI | 1760475503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: PR 3-05-004446) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS-28382) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2017-03-02 |