| NPI | 1992005508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 43516) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 43516) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2016-02-26 |