| NPI | 1144839002 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61082482) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA IR60690616) | 
| Enumeration Date | 2020-07-27 | 
| Last Update Date | 2021-03-12 |