| NPI | 1710537311 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PS27915) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS27915) | 
| Enumeration Date | 2019-09-16 | 
| Last Update Date | 2019-09-16 |