| NPI | 1689606931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835N1003X Pharmacist, Nutrition Support (Licence: NV 10686) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 10686) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: NV 10686) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-06-03 |