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 |