| NPI | 1053939686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH.60935565) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 27117) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-10 |