| NPI | 1619245669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA ph 60237471) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: GA rph030513) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2019-09-23 |