| NPI | 1114480654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202217846) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60886087) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2021-10-02 |