| NPI | 1245496074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60003816) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: WA 3131972) |
| 1835G0303X Pharmacist Geriatric (Licence: WA 3517) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2016-01-18 |