| NPI | 1275026783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60153501) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 21227) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |