| NPI | 1962808188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MA PH18495) |
| Additional Taxonomies | 1835N1003X Pharmacist Nutrition Support (Licence: MA PH18495) |
| Enumeration Date | 2014-11-16 |
| Last Update Date | 2014-11-16 |