| NPI | 1285178574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: WA PH 00016404) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: OR RPH-0008233) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |