| NPI | 1336785047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 61002061) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0022886) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |