| NPI | 1851700652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: FL PS51875) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS51875) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2016-07-06 |