| NPI | 1942569462 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 31460)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 31460)  | 
| 1835G0303X Pharmacist, Geriatric (Licence: TX 31460)  | |
| 1835N1003X Pharmacist, Nutrition Support (Licence: TX 31460)  | |
| 1835X0200X Pharmacist, Oncology (Licence: TX 31460)  | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 31460)  | |
| Enumeration Date | 2012-05-04 | 
| Last Update Date | 2021-04-15 |