| NPI | 1013199165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: MT RPH 5070) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: OR RPH-0010619) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: WA PH00070774) | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2010-07-13 |