| NPI | 1144923079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61425545) |
| Additional Taxonomies | 332100000X Department of Veterans Affairs (VA) Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2026-01-20 |