| NPI | 1467037424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61085051) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 61085051) |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2022-07-18 |