| NPI | 1871621177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: UT 4954693-1701) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: FL PS 48860) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2012-06-04 |