| NPI | 1720199318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835N1003X Pharmacist, Nutrition Support (Licence: SC 003622) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: SC 003622) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |