| NPI | 1073029534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60779375) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P7812) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2018-03-17 |