| NPI | 1871962381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 57123) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60712742) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2018-07-20 |