| NPI | 1326659525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61054380) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P8912) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2023-05-20 |