| NPI | 1811771868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MD 23683) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60493043) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2025-09-16 |