| NPI | 1194110643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AL 19730) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03135598) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2019-08-03 |