| NPI | 1902265259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: LA 13792) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 13792) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: LA 13792) | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |