| NPI | 1487263901 |
|---|---|
| Former Name | GAMAN WONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61036913) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0017757) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |