| NPI | 1922009612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 16461) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: MD 16461) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2014-12-31 |