| NPI | 1073242319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: WA PH.61287043) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: WA PH.61287043) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-08-23 |