| NPI | 1497164636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 13601) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0013601) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2017-04-26 |