| NPI | 1982938775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MD 21578) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 18518) |
| 1835P2201X Pharmacist Ambulatory Care (Licence: MN 18518) | |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2020-05-21 |