| NPI | 1104378108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00008590) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH61281431) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: NM 3163954) | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2024-05-24 |