| NPI | 1487104956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OR 8970) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 21946) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |