| NPI | 1316123540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 48069) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 18295) |
| 183500000X Pharmacist (Licence: VA 0202208107) | |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2018-08-16 |