| NPI | 1538673785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60796410) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-48782) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |