| NPI | 1386296382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MN 126433) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PHRM.PH.60955568019) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2025-01-21 |