| NPI | 1952308116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: PA rp439413) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OH 03226555) |
| Enumeration Date | 2005-07-02 |
| Last Update Date | 2017-08-29 |