| NPI | 1114292240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MT PHA-PHA-LIC-15127) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00058181) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2018-11-28 |