| NPI | 1972630770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NV 17618) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 13953) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-07-06 |