| NPI | 1902906720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 56930) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: OH 03226414) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |