| NPI | 1477200855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P10567) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH61187504) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2023-08-07 |