| NPI | 1841606175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: TN 36474) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: GA RPH026486) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: AL 15875) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |