| NPI | 1174862510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00015068) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS59371) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2020-04-22 |