| NPI | 1104804616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM PC00000187) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NE 10160) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2011-09-28 |