| NPI | 1821544099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61366477) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60637813) |
| 183500000X Pharmacist (Licence: ID P7456) | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2023-08-09 |