| NPI | 1689921819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302033906) |
| Additional Taxonomies | 1835N1003X Pharmacist Nutrition Support (Licence: MI 5302033906) |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302033906) | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |