| NPI | 1962706440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: VA 0202012411) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2011-09-27 |