| NPI | 1205386232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60670122) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ PH60670122) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2019-04-22 |