| NPI | 1417593468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61327752) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA IR60888672) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2022-12-22 |