| NPI | 1174112783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302038326) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00061029) |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-01-18 |