| NPI | 1265928394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61066162) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 25718) |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2021-01-21 |