| NPI | 1386876548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 12139) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: TN 12139) |
| 1835N1003X Pharmacist Nutrition Support (Licence: TN 12139) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2023-07-23 |