| NPI | 1881001907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WA PH60390405) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MT PHA-PHA-LIC-23959) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |