| NPI | 1801081302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: WA PH00052296) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: OR RPH-0010313) |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2007-09-08 |