| NPI | 1053884114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835C0207X (Licence: WY 4063) |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WY 4063) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2024-08-02 |