| NPI | 1326513433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60872261) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-54917) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2020-06-19 |