| NPI | 1194789925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: AZ 9867) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 44932) |
| 183500000X Pharmacist (Licence: AZ 9867) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AZ 9867) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 44932) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2019-08-07 |