| NPI | 1932415692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA Op60943803) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60167254) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2019-06-06 |