| NPI | 1114510567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MD 28004) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202214542) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2022-06-22 |