| NPI | 1073024402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61024074) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 62504) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2020-07-23 |