| NPI | 1386120400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61048874) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 76855) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2022-02-01 |