| NPI | 1376103051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61189742) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 27823) |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2021-10-01 |