| NPI | 1396802393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS40961) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL PS40961) |
| 1835N1003X Pharmacist, Nutrition Support (Licence: FL PS40961) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PS40961) | |
| 183500000X Pharmacist (Licence: NC 16707) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2012-08-08 |