| NPI | 1245908516 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0018540)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH61197195)  | 
| Enumeration Date | 2021-09-01 | 
| Last Update Date | 2023-01-30 |