| NPI | 1598014367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9115609) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS34139) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2022-10-07 |