| NPI | 1285390203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61268668) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 180955) |
| Enumeration Date | 2021-11-14 |
| Last Update Date | 2024-05-31 |