| NPI | 1699299800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: WA PH60875230) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR PI-0011859) |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2019-07-11 |