| NPI | 1275032518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60752607) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 19097-40) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-11-19 |