| NPI | 1104164433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 0010715) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0010715) |
| 183500000X Pharmacist (Licence: WA PH 00039967) | |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2017-06-14 |