| NPI | 1447694559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WY 3682) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: WY 4081) |
| 183500000X Pharmacist (Licence: WY 3682) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2014-09-24 |