| NPI | 1093013732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 13512) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 443) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-12-01 |