| NPI | 1114675873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61422626) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR PI-0013345) |
| 183500000X Pharmacist (Licence: WA IR61252618) | |
| Enumeration Date | 2022-03-12 |
| Last Update Date | 2023-06-26 |