| NPI | 1790051993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OR RPH-0013159) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH 60175306) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2018-10-31 |