| NPI | 1821162777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: KY 012853) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WV RP0005742) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 37399) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: TN 0000009517) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |