| NPI | 1740306778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 174H00000X Health Educator |
| 183500000X Pharmacist (Licence: MI 5302032186) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-07-22 |