| NPI | 1386054179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator (Licence: KY 21600003) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA 0020032) |
| 183500000X Pharmacist (Licence: KY 016468) | |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2016-06-23 |