| NPI | 1972566420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: NC 12406) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: FL PS 27871) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2007-07-08 |