| NPI | 1083263339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60975143) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P8472) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-13 |