| NPI | 1497245575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60860577) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: WA IR60853114) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2020-08-11 |