| NPI | 1871824755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L003965) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS 010364) |
| 183500000X Pharmacist (Licence: VA 0202211262) | |
| 183500000X Pharmacist (Licence: NC 22323) | |
| Enumeration Date | 2010-01-16 |
| Last Update Date | 2012-07-13 |