| NPI | 1861481467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: FL PS27647) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: WA PH00018719) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2007-07-24 |