| NPI | 1457767576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 56958) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302039197) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: AZ S020860) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2017-06-02 |