| NPI | 1376096503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 75646) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60661993) |
| Enumeration Date | 2016-07-23 |
| Last Update Date | 2019-10-03 |