| NPI | 1255763082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-18611) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60362034) |
| Enumeration Date | 2013-08-03 |
| Last Update Date | 2020-07-28 |