| NPI | 1053894519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: WA PH60958837) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0005251) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2019-07-11 |