| NPI | 1154659738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WA PH60747679) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 46174) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2018-03-17 |