| NPI | 1194459842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: WA PH61311210) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 45262) |
| Enumeration Date | 2022-07-10 |
| Last Update Date | 2023-10-24 |