| NPI | 1528612082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60955476) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 020733) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |