| NPI | 1740637008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 62399) |
| Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: CA 62399) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 62399) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |