| NPI | 1811017726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP044968L) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: PA RP044968L) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2023-01-05 |