| NPI | 1578993622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 49362) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NV 17878) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: WI 16586-40) | |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |