| NPI | 1811294879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: FL PS36059) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: TX 47939) |
| Enumeration Date | 2011-02-26 |
| Last Update Date | 2011-02-28 |