| NPI | 1679661268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: WA PH 00065741) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH 00065741) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: WA PH 00065741) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-06-16 |