| NPI | 1356886766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0200X Pharmacist Pediatrics (Licence: WA PH60636212) |
| Additional Taxonomies | 1835P0200X Pharmacist Pediatrics (Licence: CA 70289) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |