NPI | 1396260790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: WA PH00039453) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00039453) |
Enumeration Date | 2017-08-07 |
Last Update Date | 2017-08-07 |