| NPI | 1427304054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302025134) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: MI 19110756) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2014-03-13 |