| NPI | 1689980617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: WA PH60555470) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 34311) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2015-12-02 |