| NPI | 1326314691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2007019763) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MO 2007019763) |
| 183500000X Pharmacist (Licence: NM RP00006654) | |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2019-03-04 |