| NPI | 1497444848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: WA PH61447733) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 71075) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-11-17 |