| NPI | 1477983765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TN 43226) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN 2378) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2025-09-29 |