| NPI | 1588006324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 29775) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: TN 29775) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2019-05-29 |