| NPI | 1629557483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60848673) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: WA PH60848673) |
| Enumeration Date | 2018-08-11 |
| Last Update Date | 2019-11-14 |