NPI | 1790124816 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: OK 13769) |
Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: TX 44497) |
Enumeration Date | 2013-06-21 |
Last Update Date | 2016-07-18 |