| NPI | 1093269375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 61380854) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 78094) |
| 183500000X Pharmacist (Licence: AZ S021417) | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2023-06-23 |