| NPI | 1104488071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60864255) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH80578) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2021-12-02 |