| NPI | 1073958799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 49768) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 49768) |
| 183500000X Pharmacist (Licence: NV 14018) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2016-12-31 |