| NPI | 1154185296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 9083643-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60892088) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |