| NPI | 1679962385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NE 14922) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-25336) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2015-09-23 |