| NPI | 1043212335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 13255) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 174H00000X Health Educator | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: WI 13255-40) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2022-05-05 |