| NPI | 1104436930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61053762) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P8905) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2022-04-06 |