| NPI | 1174998652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WI 15833-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 23977) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2016-06-11 |