| NPI | 1770916140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OH 03331040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03437000) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2016-10-01 |