| NPI | 1215025606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 10164) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: AZ 10164) |
| 1835N1003X Pharmacist, Nutrition Support (Licence: AZ 10164) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: AS 10164) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |