| NPI | 1770982878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: SC 13008) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: VA 0202210707) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: PA RP444050) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2019-01-07 |