| NPI | 1235142167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP448140) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: PA DN003068) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2022-03-27 |