| NPI | 1710432661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH60619504) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60619504) |
| 183500000X Pharmacist (Licence: VA 0202213809) | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2022-03-02 |