| NPI | 1144404633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NE 32188) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 13118) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: ID P6312) | |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2016-07-08 |