| NPI | 1427477801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS25279) |
| Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: FL PS25279) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |