| NPI | 1023512860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: PR 6509) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician |
| 183500000X Pharmacist (Licence: PR 06509) | |
| 183500000X Pharmacist (Licence: PR 6509) | |
| 183500000X Pharmacist (Licence: FL 6509) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2019-01-04 |