| NPI | 1477886117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 5863) |
| Additional Taxonomies | 1835N1003X Pharmacist Nutrition Support (Licence: OR 5863) |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 5863) | |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |