| NPI | 1477937902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 21531) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 21531) |
| 261Q00000X Clinic/Center (Licence: NC 21531) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: NC 21531) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |