| NPI | 1811990336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: GA RPH019925) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 38717) |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2011-10-06 |