| NPI | 1609859628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WA PH61729) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: WA PH61729) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2009-01-27 |