| NPI | 1932550589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MI 5302038350) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 53703) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |