| NPI | 1376803973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 45776) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: TX 45776) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2014-01-16 |