| NPI | 1154933133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61083277) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA P461098155) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2021-04-12 |