| NPI | 1003224890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60520717) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 64261) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2022-12-02 |