| NPI | 1518323351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 61058326) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 74265) |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2020-11-20 |