| NPI | 1447628680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00051227) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT PHA25667) |
| 183500000X Pharmacist (Licence: OR RPH0014462) | |
| 183500000X Pharmacist (Licence: ID P7130) | |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2021-11-05 |