| NPI | 1154724136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60856686) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302041183) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2019-08-07 |