| NPI | 1245984350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.024097) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60957176) |
| 183500000X Pharmacist (Licence: MN 124646) | |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |