| NPI | 1720311319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302040102) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 19394) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2012-11-14 |