| NPI | 1770697195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: NV 07614) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 37090) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: IA 14523) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |