| NPI | 1366161051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61231466) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WA PHAR.CF.00001059-HOS) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |