| NPI | 1215757612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: WA 70000828) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0020280) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: OR 0020280) | |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2025-08-07 |