| NPI | 1730237025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835N1003X Pharmacist Nutrition Support (Licence: TX 38184) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: TX 38184) |
| 1835N1003X Pharmacist Nutrition Support | |
| 1835P1200X Pharmacist Pharmacotherapy | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |