| NPI | 1417108143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KY 014363) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 19756) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2020-10-26 |