| NPI | 1952937443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0654470) |
| Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: NY 0654470) |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2021-05-13 |