| NPI | 1790959401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302410883) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302410883) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |