| NPI | 1487174876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60747524) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 15443) |
| 183500000X Pharmacist (Licence: IA 22891) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2018-03-17 |