| NPI | 1104322460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: ID P10560) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: ID P10560) |
| 183500000X Pharmacist (Licence: CO 0021851) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2026-03-18 |