| NPI | 1003326943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60771217) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 61453) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2021-02-23 |