| NPI | 1033457775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA ph60922941) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 8349354-1701) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2020-11-22 |