| NPI | 1235912858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP045451L) |
| Additional Taxonomies | 1835N1003X Pharmacist Nutrition Support (Licence: PA RP045451L) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |