| NPI | 1104360361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 61131364) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 18516-40) |
| 183500000X Pharmacist (Licence: CA 80870) | |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2021-03-29 |