| NPI | 1134527203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OR 0013668) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0013668) |
| 183500000X Pharmacist (Licence: WA PH60386292) | |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2020-01-22 |