| NPI | 1205110376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302024423) |
| Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: MI 5302024423) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |