| NPI | 1013903251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: WA PH00039693) |
| Additional Taxonomies | 1835P1300X Pharmacist Psychiatric (Licence: WA PH00039693) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2007-07-08 |