| NPI | 1396064150 |
|---|---|
| Former Name | RENA BETHA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 54462) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS40485) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2016-09-27 |