| NPI | 1932133113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00009777) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: WA PA10004270) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |