NPI | 1154328664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 5654) |
Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: WA 11799) |
1835G0303X Pharmacist, Geriatric (Licence: OR 5654) | |
Enumeration Date | 2005-06-30 |
Last Update Date | 2012-10-12 |