| NPI | 1316374630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: UT 5601412-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60292088) |
| 183500000X Pharmacist (Licence: UT 5601412-1701) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: WA PH60292088) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2022-03-31 |