| NPI | 1669595658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 55913) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00061503) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2021-12-14 |