| NPI | 1083985568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302034567) |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-01-16 |