| NPI | 1366113821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61067497) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 28214) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2023-03-08 |