| NPI | 1841537610 |
|---|---|
| Former Name | EDWINA MARLENE NICHOLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AZ S10873) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 20272) |
| Enumeration Date | 2013-01-13 |
| Last Update Date | 2013-01-13 |