| NPI | 1154797553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH60716197) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 061024) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2018-06-20 |