| NPI | 1063847796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OR RPH-0014310) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60371567) |
| 183500000X Pharmacist (Licence: MI 5302038967) | |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2017-03-14 |