| NPI | 1821521683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302040176) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302040176) |
| 183500000X Pharmacist (Licence: WV RP0008876) | |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2021-03-06 |