| NPI | 1215256052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP447510) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN003710) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2015-06-10 |