| NPI | 1962434522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: SD 4835) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 115631-9) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |