| NPI | 1578801890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0011112) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 00070595) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 0011112) | |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2016-02-24 |