| NPI | 1104200617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MT PHA-PHA-LIC-46616) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 22487) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2022-07-21 |