| NPI | 1851934640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 60183) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: ID P8242) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: KS 1-108447) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: SC 41986) | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |