| NPI | 1104152396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302033350) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2017-02-08 |