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 |