| NPI | 1487858684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 60484234) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WA PH60484234) |
| 183700000X Pharmacy Technician | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2022-03-07 |