| NPI | 1992258404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: WA PH60552165) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: WA PH60552165) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |