| NPI | 1922019645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PS36640) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MA 21203) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |