| NPI | 1053608794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 00021314) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 51368) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2022-07-14 |