| NPI | 1073043246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61063006) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 69780) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2020-11-24 |